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General NPI Number Information
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NPI Number | 1912465766
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Entity Type | Organization
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Legal Business Name | SWEET SERENITY HOME CARE SERVICES, LLC
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Dates
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Enumeration Date | 03/11/2019
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 1 CHICK SPRINGS RD STE 201C
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City | GREENVILLE
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State | SC
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Zip | 29609-4964
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Country | US
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Telephone | 864-520-1118
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CHICK SPRINGS RD STE 201C
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City | GREENVILLE
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State | SC
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Zip | 29609-4964
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Country | US
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Telephone | 864-520-1118
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALICIA PEPPER
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Credential |
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Telephone | 864-361-8744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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